Components Of The Patient Protection And Affordable Care Act
The three main components of the Patient Protection and Affordable Care Act (ACA) have three main objectives to reform the private insurance market for individuals and small group purchasers, to expand Medicaid to the working poor with income up to 133% of the federal poverty level and to change the way that medical decisions are made (Chait & Glied, 2018). These objectives are dependent on private choices rather than government regulations. They are also rooted in expectations of rational decision-making that incentives and other constraints have shaped. The first objective aims at changing the rules with the mandate of an individual. Insurance companies have to offer comparable policies at the same rates with relatively little variations, allowing preexisting conditions and limiting their rate increases (French et al., 2018)Components Of The Patient Protection And Affordable Care Act. Individuals need to enroll a representative cross-section of the population to realize the average risk assumed under the new rules.
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The other main ACA component is a family practice, including comparative effectiveness research, alternative organizational arrangements, and compensation for new delivery systems. The main assumption is that new information on improved treatment alternatives will inform practice and stimulate value-based benefit design (French et al., 2018). Thirdly, the second class of the issues limits the potential competitors. The pharmaceutical patents, for instance, are accepted by public policy, and no competitors are allowed, although courts have decided that payments to delay entry by generic competitors are not acceptable. The shortages ensure that those in the least supply can bargain with hospitals and extract compensation in addition to their normal fees (Chait & Glied, 2018)Components Of The Patient Protection And Affordable Care Act. Few primary care physicians can potentially limit access under ACA shortages in other specialties making it challenging to reorganize processes and introduce more efficient technology.
References
Chait, N., & Glied, S. (2018). Promoting prevention under the affordable care act. Annual Review of Public Health, 39, 507-524. https://doi.org/10.1146/annurev-publhealth-040617-013534
French, M. T., Homer, J., Gumus, G., & Hickling, L. (2018). Key provisions of the Patient Protection and Affordable Care Act (ACA): a systematic review and presentation of early research findings. Health Services Research, 51(5), 1735-1771. doi: 10.1111/1475-6773.12511 Components Of The Patient Protection And Affordable Care Act
